Immediate Free Jejunum Transfer for Salvage Surgery of Gastric Tube Necrosis
Gastric tube necrosis after esophagus cancer surgery is a rare but critical situation. Salvage reconstruction of the esophagus remains a challenging procedure for head and neck surgeons. Historically, surgeons have employed a two-stage salvage surgery consisting of debridement followed by reconstruc...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/327549 |
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| author | Hiroki Umezawa Takeshi Matsutani Rei Ogawa Hiko Hyakusoku |
| author_facet | Hiroki Umezawa Takeshi Matsutani Rei Ogawa Hiko Hyakusoku |
| author_sort | Hiroki Umezawa |
| collection | DOAJ |
| description | Gastric tube necrosis after esophagus cancer surgery is a rare but critical situation. Salvage reconstruction of the esophagus remains a challenging procedure for head and neck surgeons. Historically, surgeons have employed a two-stage salvage surgery consisting of debridement followed by reconstruction. While this procedure generates good results, the time to restart oral alimentation is long. The present report describes the case of a 62-year-old male who developed gastric tube necrosis 3 days after undergoing surgery for thoracic-cervical esophageal cancer and immediate reconstruction with the retrosternal gastric pullup technique. He was treated with debridement and simultaneous free jejunum transfer 4 days after the primary surgery. He was able to restart oral alimentation 10 days after the salvage surgery. This rapid return to oral alimentation is a major advantage of the one-stage immediate esophagus salvage reconstruction. Another advantage is the ease of the reconstructive procedure: the absence of scarring and prolonged inflammation, which are disadvantages of the two-stage procedure, meant that recipient vessel selection and anastomosis were uncomplicated. The one-step procedure may be particularly useful in cases where the inflammation is discovered early. |
| format | Article |
| id | doaj-art-a73733b760df4f0bb68ca1a05d224781 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-a73733b760df4f0bb68ca1a05d2247812025-02-03T05:45:29ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362014-01-01201410.1155/2014/327549327549Immediate Free Jejunum Transfer for Salvage Surgery of Gastric Tube NecrosisHiroki Umezawa0Takeshi Matsutani1Rei Ogawa2Hiko Hyakusoku3Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanDepartment of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanDepartment of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanDepartment of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanGastric tube necrosis after esophagus cancer surgery is a rare but critical situation. Salvage reconstruction of the esophagus remains a challenging procedure for head and neck surgeons. Historically, surgeons have employed a two-stage salvage surgery consisting of debridement followed by reconstruction. While this procedure generates good results, the time to restart oral alimentation is long. The present report describes the case of a 62-year-old male who developed gastric tube necrosis 3 days after undergoing surgery for thoracic-cervical esophageal cancer and immediate reconstruction with the retrosternal gastric pullup technique. He was treated with debridement and simultaneous free jejunum transfer 4 days after the primary surgery. He was able to restart oral alimentation 10 days after the salvage surgery. This rapid return to oral alimentation is a major advantage of the one-stage immediate esophagus salvage reconstruction. Another advantage is the ease of the reconstructive procedure: the absence of scarring and prolonged inflammation, which are disadvantages of the two-stage procedure, meant that recipient vessel selection and anastomosis were uncomplicated. The one-step procedure may be particularly useful in cases where the inflammation is discovered early.http://dx.doi.org/10.1155/2014/327549 |
| spellingShingle | Hiroki Umezawa Takeshi Matsutani Rei Ogawa Hiko Hyakusoku Immediate Free Jejunum Transfer for Salvage Surgery of Gastric Tube Necrosis Case Reports in Gastrointestinal Medicine |
| title | Immediate Free Jejunum Transfer for Salvage Surgery of Gastric Tube Necrosis |
| title_full | Immediate Free Jejunum Transfer for Salvage Surgery of Gastric Tube Necrosis |
| title_fullStr | Immediate Free Jejunum Transfer for Salvage Surgery of Gastric Tube Necrosis |
| title_full_unstemmed | Immediate Free Jejunum Transfer for Salvage Surgery of Gastric Tube Necrosis |
| title_short | Immediate Free Jejunum Transfer for Salvage Surgery of Gastric Tube Necrosis |
| title_sort | immediate free jejunum transfer for salvage surgery of gastric tube necrosis |
| url | http://dx.doi.org/10.1155/2014/327549 |
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